m-LUCENTUM calculator


Prediction of 30-day Mortality and 30-day Morbidity in Emergency General Surgery (EGS).

The LUCENTUM project (Simplified Risk-prediction for Benchmarking and Quality Improvement in Emergency General Surgery), a prospective nation-wide cohort study, was created under the auspices of the Spanish Association of Surgeons (AEC) to examine the quality of care related to Emergency General Surgery (EGS) and find avenues for improvement.

Thirty-eight centers distributed throughout the national territory, totaling 5% of all public hospitals, agreed to participate in the project. Complete information was obtained from 7,258 consecutive patients older than 14 years, that stayed in the hospital longer than 23 hours. Both laparoscopic and open operations were included. All procedures were performed under either general or regional anesthesia, and patients were followed for 30 days after surgery. Outcome was used as a dichotomous variable: complicated, having one or more postoperative complication, vs. uncomplicated, when none was present.

To predict the risk of 30-day morbidity and 30-day mortality, two different equations that both include age as a continuous variable, and serum urea and operative severity as categorical were obtained.

Age (years)

Serum urea

Operative severity

MINOR procedures include hernia, pilonidal sinus, perianal abscess, and fissure-in-ano.

MODERATE procedures include appendectomy, open or laparoscopic cholecystectomy, hemorrhoidectomy, closure of wound dehiscence, lysis of adhesion.

MAJOR AND MAJOR+ procedures include bowel resection, cholecystectomy with choledochotomy, partial gastrectomy, and complex lysis of adhesions, minor hepatic trauma, and splenectomy, total gastrectomy, hepatectomy, rectal resection, esophagectomy, pancreatectomy.


30-day Morbidity

----


30-day Mortality

----






LUCENTUM project researchers



N. Afonso, MD (Hospital Gran Canaria Doctor Negrín, Las Palmas de Gran Canarias), V. Aguilella, MD (Hospital Clínico Universitario Lozano Blesa, Zaragoza), J. Aguiló, MD (Hospital Lluís Alcanyís de Xàtiva, Valencia), J. C. Alados, MD (Hospital Universitario de Badajoz, Badajoz), M. Alberich, MD (Hospital Universitario de Bellvitge, Barcelona), A. B. Apio, MD (Hospital Marina Baixa, Alicante), R. Balongo, MD (Hospital Juan Ramón Jiménez /Infanta Elena, Huelva), E. Bra, MD (Hospital Infanta Cristina, Parla, Madrid), A. Bravo-Gutiérrez, MD (Hospital Universitario de Canarias, Tenerife), F. J. Briceño, MD (Hospital Reina Sofía de Córdoba, Córdoba), J. Cabañas, MD (H. Ramón y Cajal, Madrid), G. Cánovas, MD (Hospital Parc Taulí de Sabadell, Barcelona), I. Caravaca, MD (Hospital General Universitario de Alicante, Alicante), S. Carbonell, MD (Hospital General Universitario de Alicante, Alicante), E. Carrera-Dacosta, MD (Complejo Hospitalario Universitario de Vigo / Hospital Pontevedra), E. Castro E, MD (Hospital Trueta de Girona, Girona), C. Caula, MD (Hospital Trueta de Girona, Girona), E. Choolani-Bhojwani, MD (Hospital Universitario Rio Hortega, Valladolid), A. Codina, MD (Hospital Trueta de Girona, Girona), S. Corral, MD (H. Ramón y Cajal, Madrid), C. Cuenca, MD (Hospital Mutua Terrassa, Barcelona), Y. Curbelo-Peña, MD (Consorci Hospitalari de Vic, Barcelona), M. M. Delgado-Morales, MD (Hospital Juan Ramón Jiménez /Infanta Elena, Huelva), L. Delgado-Plasencia, MD (Hospital Universitario de Canarias, Tenerife), E. Doménech, MD (Hospital General Universitario de Alicante, Alicante), A. M. Estévez, MD (POVISA, Pontevedra), A. M. Feria, MD (Hospital Universitario Nuestra Señora de Candelaria, Tenerife), M. A. Gascón-Domínguez, MD (Hospital Clínico Universitario Lozano Blesa, Zaragoza), R. Gianchandani, MD (Hospital Universitario Nuestra Señora de Candelaria, Tenerife), C. González, MD (Hospital Universitario Basurto, Bizkaia), M. A. González, MD (Hospital Universitario Marqués de Valdecilla, Santander), R. J. Hevia, MD (Hospital de Viladecans, Barcelona), J. M. Hidalgo, MD (Hospital Parc Taulí de Sabadell, Barcelona), M. Lainez, MD (Hospital Universitario Marqués de Valdecilla, Santander), N. Lluís, MD (Hospital Universitario de Bellvitge, Barcelona), F. López, MD (Hospital Clínico de Valencia, Valencia), J. López-Fernández, MD (Hospital Universitario Insular de Gran Canaria, Las Palmas), J. A. López-Ruíz, MD (Hospital Vírgen de la Macarena, Sevilla), P. Lora-Cumplido, MD (Hospital Cabueñes, Gijón), Z. Madrazo, MD (Hospital Universitario de Bellvitge, Barcelona), J. Marchena, MD (Hospital Gran Canaria Doctor Negrín, Las Palmas de Gran Canarias), B. Marenco de la Cuadra, MD (Hospital Vírgen de la Macarena, Sevilla), S. Martín, MD (Hospital de Viladecans, Barcelona), I. Martínez Casas, MD (Complejo Hospitalario de Jaén, Jaén), P. Martínez, MD (Hospital Universitari Sant Joan de Reus, Tarragona), A. Mena-Mateos, MD (H. Ramón y Cajal, Madrid), D. Morales-García, MD (Hospital Universitario Marqués de Valdecilla, Santander), C. Mulas, MD (Hospital Lluís Alcanyís de Xàtiva, Valencia), E. Muñoz-Forner, MD (Hospital Clínico de Valencia, Valencia), A. Naranjo, MD (Hospital Reina Sofía de Córdoba, Córdoba), A. Navarro-Sánchez, MD (Hospital Universitario Insular de Gran Canaria, Las Palmas), I. Oliver, MD (Hospital Marina Baixa, Alicante), I. Ortega, MD (Hospital Universitario Infanta Sofía, Madrid), R. Ortega-Higueruelo, MD (Complejo Hospitalario de Jaén, Jaén), S. Ortega-Ruiz, MD (Complejo Hospitalario Torrecárdenas, Almería), J. Osorio, MD (Hospital Mutua Terrassa, Barcelona), M. H. Padín, MD (Hospital Cabueñes, Gijón), J. J. Pamies, MD (Hospital Sant Pau i Santa Tecla, Tarragona), M. Paredes, MD (Hospital General Rafael Méndez de Lorca, Murcia), F. Pareja-Ciuró, MD (Hospital Vírgen del Rocío, Sevilla), J. Parra, MD (Hospital General Universitario de Alicante, Alicante), C. V. Pérez-Guarinós, MD (Hospital Morales Meseguer, Murcia), B. Pérez-Saborido, MD (Hospital Universitario Rio Hortega, Valladolid), J. Pintor-Tortolero, MD (Hospital Reina Sofía de Córdoba, Córdoba), K. Plua-Muñiz, MD (Hospital Universitario Rio Hortega, Valladolid), M. Rey, MD (Hospital del Vinalopó, Alicante), I. Rodríguez, MD (Hospital Infanta Cristina, Parla, Madrid), C. Ruiz, MD (Hospital Sant Pau i Santa Tecla, Tarragona), R. Ruíz, MD (Hospital Marina Baixa, Alicante), S. Ruiz, MD (Hospital Universitario Basurto, Bizkaia), A. Sánchez, MD (Hospital Universitari Sant Joan de Reus, Tarragona), D. Sánchez, MD (Hospital Universitario Infanta Sofía, Madrid), R. Sánchez, MD (Hospital Universitario Marqués de Valdecilla, Santander), F. Sánchez-Cabezudo, MD (Hospital Universitario Infanta Sofía, Madrid), R. Sánchez-Santos, MD (Complejo Hospitalario Universitario de Vigo / Hospital Pontevedra), J. Santos, MD (Hospital Universitario de Badajoz, Badajoz), M. P. Serrano-Paz, MD (Hospital Universitario del Vinalopó, Alicante), V. Soria-Aledo, MD (Hospital Morales Meseguer, Murcia), L. Tallón-Aguilar, MD (Hospital Vírgen del Rocío, Sevilla), J. H. Valdivia-Risco, MD (Hospital Universitario Virgen de las Nieves, Granada), H. Vallverdú-Cartié, MD (Consorci Hospitalari de Vic, Barcelona), C. Varela, MD (POVISA, Pontevedra), J. Villar-del-Moral, MD (Hospital Universitario Virgen de las Nieves, Granada), N. Zambudio, MD (Hospital Universitario Virgen de las Nieves, Granada).